| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | 625 KENMOOR SE GRAND RAPIDS, MI 49546 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $2K | — | $2K | 5.90% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | C/O BANK OF AMERICA CHICAGO, IL 60693 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $1K | — | $1K | 4.08% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 625 KENMOOR AVENUE SE SUITE 200 GRAND RAPIDS, MI 49546 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $706 | $3K | 14.37% |
| KEYSER INSURANCE GROUP3 | 444 WEST MICHIGAN AVENUE KALAMAZOO, MI 49007 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $528 | — | $528 | 2.50% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 625 KENMOOR AVENUE SE SUITE 200 GRAND RAPIDS, MI 49546 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $560 | $170 | $730 | 14.33% |
| KEYSER INSURANCE GROUP3 | 444 WEST MICHIGAN AVENUE KALAMAZOO, MI 49007 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $93 | — | $93 | 1.83% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 625 KENMOOR AVENUE SE SUITE 200 GRAND RAPIDS, MI 49546 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $449 | $164 | $613 | 12.50% |
| KEYSER INSURANCE GROUP3 | 444 WEST MICHIGAN AVENUE KALAMAZOO, MI 49007 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $90 | — | $90 | 1.84% |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 194 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 195 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 409 | $31K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 75 | $5K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 75 | $5K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 75 | $21K |
| Other | RELIANCE STANDARD LIFE INSURANCE COMPANY | 75 | $5K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 409 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.